NPIMap

Organization Active NPI

Family Eye Care Center of Atlanta, Inc

  • Optometrist
  • Morrow, GA
National Provider Identifier
1154569069
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002490 Issued in GA
Legal business name
FAMILY EYE CARE CENTER OF ATLANTA, INC
Practice address
1400 Southlake Mall
Morrow, GA 30260-2328
Phone
(678) 422-1936
Fax
(678) 422-1936
NPI assigned
Jan 30, 2009
Last updated
Jan 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Takeia J Locke, ODNPI 1619162203
Title
Ceo
Phone
(202) 320-7373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002490 GA Primary
Pediatric Optometrist 152WP0200X OPT002490 GA
Sports Vision Optometrist 152WS0006X OPT002490 GA
Vision Therapy Optometrist 152WV0400X OPT002490 GA

Addresses

Primary practice location

1400 Southlake Mall
Morrow, GA 30260-2328

Mailing address

1270 Caroline St NE
Suite D120-377
Atlanta, GA 30307-2758
Phone (202) 320-7373

National Provider Directory

National Provider Directory

Locations

1270 Caroline St NE
Ste D120377
Atlanta, GA 30307
Phone (202) 320-7373

1400 Southlake Mall
Morrow, GA 30260
Phone (678) 422-1936

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1154569069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 CAROLINE ST NE",
            "address_2": "SUITE D120-377",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072758",
            "telephone_number": "202-320-7373",
            "fax_number": "678-298-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SOUTHLAKE MALL",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602328",
            "telephone_number": "678-422-1936",
            "fax_number": "678-422-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE CENTER OF ATLANTA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "TAKEIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-320-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002490",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "GA",
            "license": "OPT002490",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "GA",
            "license": "OPT002490",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "GA",
            "license": "OPT002490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.